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. 2019 Jul 8;43:e61. doi: 10.26633/RPSP.2019.61

TABLE 2. Turning all disease and non-disease programs into a problem, a novel technique used by the PAHO-adapted Hanlon method to include both disease and non-disease programs in priority setting.

 

Disease programs

Non-disease programs

Consideration

A disease is a bad thing

A health system or public health intervention is a good thing

Defining “a problem”

High “access” to a disease, and especially a serious disease

Low access to a good program

Defining “no problem”

Little or no disease

High access to a good program

Measuring “size of problem”

Size of problem refers to a high prevalence or incidence of disease

Size of problem refers to the lack of resources or coverage of the program

Measuring “seriousness of problem”

Seriousness refers to worsening problem, severity, economic loss, and negative impact due to disease

Seriousness refers to worsening problem, severity, economic loss, and negative impact due to lack of program or program deficiency

Measuring “effectiveness of intervention for problem”

Effectiveness of intervention refers to effective ways to reduce the problem (disease)

Effectiveness of intervention refers to effective ways to reduce the problem (lack of coverage or program deficiency)

Source: Prepared by the authors from the study results.